Louisiana residents with chronic illnesses enrolled in Medicaid will soon have greater help managing their conditions. A new program called the “Chronic Care Management Program” (CCMP) a statewide Medicaid quality improvement initiative is scheduled to begin operating January 2010.
The intent is to award a contract with a qualified healthcare organization to be the CCMP administrator. A Request for Proposals (RFP) was issued August 4, 2009 with the proposal due October 16, 2009.
The program is going to create a more coordinated system of care to help individuals with chronic conditions such as asthma, hypertension, diabetes, congestive heart failure, end stage renal disease, strokes, sickle cell anemia and COPD. The healthcare team approach needs to include but not be limited to care managers, social workers, pharmacists, and lay health workers.
The contractor will need to use predictive modeling to identify individuals for participation in the program, provide outreach and education on chronic illnesses, develop and implement physician-driven plans of care, perform assessments, and provide counseling and monitoring. The contractor will need to provide face-to-face consultations and a free call in line to help participants with disease management.
The contractor must provide real-time electronic health surveillance to interface with advanced health information technology and be able to receive claims data to use to produce reports, surveys, and studies. In addition, the contractor needs to be able to maintain a HIPAA compliant interactive web-based information system and member registry to maintain demographic and clinical information on CCMP participants.
To download the RFP, go to www.dhh.louisiana.gov/publications.asp?IDE1&CID=25. For more information, contact Mary Scorsone at Mary.Scorsone@la.gov or call 985-413-3166.